Question 1

What should the nurse closely assess in a child receiving a transfusion?

Accepted Answer

A)  Fever 
B)  Lethargy 
C)  Jaundice 
D)  Bradycardia 
A)  Fever 
B)  Lethargy 
C)  Jaundice 
D)  Bradycardia A

Question 2

The most recent blood count for a child who received chemotherapy last week shows neutropenia.What is the priority nursing diagnosis for this child?

Accepted Answer

A)  Risk for infection 
B)  Risk for hemorrhage 
C)  Altered skin integrity 
D)  Disturbance in body image 
A)  Risk for infection 
B)  Risk for hemorrhage 
C)  Altered skin integrity 
D)  Disturbance in body image A

Question 3

The nurse is presenting information on the congentital disorder of hemophilia A.What fact will the nurse include?

Accepted Answer

A)  It is seen in males and females equally. 
B)  It is transmitted by symptom-free females. 
C)  It is a sex-linked dominant trait. 
D)  It is a defective gene located on the Y chromosome. 
A)  It is seen in males and females equally. 
B)  It is transmitted by symptom-free females. 
C)  It is a sex-linked dominant trait. 
D)  It is a defective gene located on the Y chromosome. B

Question 4

The nurse is dealing with a preschool-age child with a life-threatening illness.What should the nurse remember the child's concept of death is at this age?

Accepted Answer

A)  That it is final 
B)  Only a fear of separation from her parents 
C)  That a person becomes alive again soon after death 
D)  An understanding based on simple logic 
A)  That it is final 
B)  Only a fear of separation from her parents 
C)  That a person becomes alive again soon after death 
D)  An understanding based on simple logic

Question 5

Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care?

Accepted Answer

A)  She will feel less neglected by the parents. 
B)  She can make amends for past hostilities to her brother. 
C)  She will feel increased helplessness. 
D)  She can express her feelings through care. 
E)  She can experience being supportive of her parents and brother. 
A)  She will feel less neglected by the parents. 
B)  She can make amends for past hostilities to her brother. 
C)  She will feel increased helplessness. 
D)  She can express her feelings through care. 
E)  She can experience being supportive of her parents and brother.

Question 6

A school-aged child is living with a chronic disease process.How would the nurse anticipate chronic illness will effect growth and development?

Accepted Answer

A)  Delayed bonding with parents 
B)  Delayed toilet training 
C)  Impaired sense of belonging 
D)  Decreased feelings of independence 
E)  Impaired speech development 
A)  Delayed bonding with parents 
B)  Delayed toilet training 
C)  Impaired sense of belonging 
D)  Decreased feelings of independence 
E)  Impaired speech development

Question 7

A child has just been diagnosed with acute lymphoblastic leukemia.What is the result of an overproduction of immature white blood cells in the bone marrow?

Accepted Answer

A)  Decreased T-cell production 
B)  Decreased hemoglobin 
C)  Increased blood clotting 
D)  Increased susceptibility to infection 
A)  Decreased T-cell production 
B)  Decreased hemoglobin 
C)  Increased blood clotting 
D)  Increased susceptibility to infection

Question 8

What are the classic symptoms of thalassemia major (Cooley's anemia)?

Accepted Answer

A)  Hepatomegaly 
B)  Jaundice 
C)  Protruding teeth 
D)  Pathological fractures 
E)  Renal failure 
A)  Hepatomegaly 
B)  Jaundice 
C)  Protruding teeth 
D)  Pathological fractures 
E)  Renal failure

Question 9

The rate of RBC production is regulated by _________________.

Accepted Answer

erythropoietin
Erythropoietin

Question 10

On admission,a child with leukemia has widespread purpura and a platelet count of 19,000/mm³.What is the priority nursing intervention?

Accepted Answer

A)  Assessing neurological status 
B)  Inserting an intravenous line 
C)  Monitoring vital signs during platelet transfusions 
D)  Providing family education about how to prevent bleeding 
A)  Assessing neurological status 
B)  Inserting an intravenous line 
C)  Monitoring vital signs during platelet transfusions 
D)  Providing family education about how to prevent bleeding

Question 11

Which statement made by a parent indicates an understanding of health maintenance of a child with sickle cell disease?

Accepted Answer

A)  "I should give my child a daily iron supplement." 
B)  "It is important for my child to drink plenty of fluids." 
C)  "He needs to wear protective equipment if he plays contact sports." 
D)  "He shouldn't receive any immunizations until he is older." 
A)  "I should give my child a daily iron supplement." 
B)  "It is important for my child to drink plenty of fluids." 
C)  "He needs to wear protective equipment if he plays contact sports." 
D)  "He shouldn't receive any immunizations until he is older."

Question 12

A child with thalassemia major receives blood transfusions frequently.What is a complication of repeated blood transfusions?

Accepted Answer

A)  Hemarthrosis 
B)  Hematuria 
C)  Hemoptysis 
D)  Hemosiderosis 
A)  Hemarthrosis 
B)  Hematuria 
C)  Hemoptysis 
D)  Hemosiderosis

Question 13

The child receiving a transfusion complains of back pain and itching.What is the best initial action by the nurse?

Accepted Answer

A)  Notify the charge nurse. 
B)  Disconnect intravenous lines immediately. 
C)  Give diphenhydramine (Benadryl). 
D)  Clamp off blood and keep line open with normal saline. 
A)  Notify the charge nurse. 
B)  Disconnect intravenous lines immediately. 
C)  Give diphenhydramine (Benadryl). 
D)  Clamp off blood and keep line open with normal saline.

Question 14

The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron?

Accepted Answer

A)  An egg white 
B)  Cream of Wheat 
C)  A banana 
D)  A carrot 
A)  An egg white 
B)  Cream of Wheat 
C)  A banana 
D)  A carrot

Question 15

The nurse finds an adolescent with Hodgkin's disease crying.The adolescent says,"I am so scared." What is the most appropriate nursing response to this comment?

Accepted Answer

A)  "I understand how you must feel." 
B)  "You shouldn't feel that way." 
C)  "Is this the strongest feeling you've had today?" 
D)  "Tell me what's got you scared." 
A)  "I understand how you must feel." 
B)  "You shouldn't feel that way." 
C)  "Is this the strongest feeling you've had today?" 
D)  "Tell me what's got you scared."

Question 16

How has synthetic recombinant antihemophilic factor improved the management of hemophilia?

Accepted Answer

A)  Eliminates the need for frequent transfusions 
B)  Can be administered by family at home 
C)  Prevents hemorrhage 
D)  Reduces cost of care of the hemophiliac 
E)  Reduces risk of HIV and hepatitis A and B transmission 
A)  Eliminates the need for frequent transfusions 
B)  Can be administered by family at home 
C)  Prevents hemorrhage 
D)  Reduces cost of care of the hemophiliac 
E)  Reduces risk of HIV and hepatitis A and B transmission

Question 17

The nurse shows slides of red blood cells from a child with sickle cell disease,noting that in addition to their sickle shape,the cells contain the abnormal element of ______________ _____.

Accepted Answer

hemoglobin S
Hemoglobin S is t

Question 18

What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit?

Accepted Answer

A)  With milk 
B)  With orange juice 
C)  With water 
D)  On a full stomach 
A)  With milk 
B)  With orange juice 
C)  With water 
D)  On a full stomach

Question 19

Which statement by a mother may indicate a cause for her 9-month-old's iron deficiency anemia?

Accepted Answer

A)  "Formula is so expensive. We switched to regular milk right away." 
B)  "She almost never drinks water." 
C)  "She doesn't really like peaches or pears, so we stick to bananas for fruit." 
D)  "I give her a piece of bread now and then. She likes to chew on it." 
A)  "Formula is so expensive. We switched to regular milk right away." 
B)  "She almost never drinks water." 
C)  "She doesn't really like peaches or pears, so we stick to bananas for fruit." 
D)  "I give her a piece of bread now and then. She likes to chew on it."

Question 20

A 2-year-old child has been diagnosed with hemophilia A.What information should the nurse include in a teaching plan about home care?

Accepted Answer

A)  If bleeding occurs, apply pressure, ice, elevate, and rest the extremity. 
B)  Children's aspirin in lowered doses may be given for joint discomfort. 
C)  A firm, dry toothbrush should be used to clean teeth at least twice a day. 
D)  Do not permit interactive play with other children. 
A)  If bleeding occurs, apply pressure, ice, elevate, and rest the extremity. 
B)  Children's aspirin in lowered doses may be given for joint discomfort. 
C)  A firm, dry toothbrush should be used to clean teeth at least twice a day. 
D)  Do not permit interactive play with other children.

Exam 27: The Child with a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

What should the nurse closely assess in a child receiving a transfusion?

The most recent blood count for a child who received chemotherapy last week shows neutropenia.What is the priority nursing diagnosis for this child?

The nurse is presenting information on the congentital disorder of hemophilia A.What fact will the nurse include?

The nurse is dealing with a preschool-age child with a life-threatening illness.What should the nurse remember the child's concept of death is at this age?

Why would the nurse urge the family of a dying 12-year-old boy to include his 8-year-old sister in care?

A school-aged child is living with a chronic disease process.How would the nurse anticipate chronic illness will effect growth and development?

A child has just been diagnosed with acute lymphoblastic leukemia.What is the result of an overproduction of immature white blood cells in the bone marrow?

What are the classic symptoms of thalassemia major (Cooley's anemia)?

The rate of RBC production is regulated by _________________.

On admission,a child with leukemia has widespread purpura and a platelet count of 19,000/mm³.What is the priority nursing intervention?

Which statement made by a parent indicates an understanding of health maintenance of a child with sickle cell disease?

A child with thalassemia major receives blood transfusions frequently.What is a complication of repeated blood transfusions?

The child receiving a transfusion complains of back pain and itching.What is the best initial action by the nurse?

The nurse is teaching the parents of a young child with iron deficiency anemia about nutrition. What food would the nurse emphasize as being a rich source of iron?

The nurse finds an adolescent with Hodgkin's disease crying.The adolescent says,"I am so scared." What is the most appropriate nursing response to this comment?

How has synthetic recombinant antihemophilic factor improved the management of hemophilia?

The nurse shows slides of red blood cells from a child with sickle cell disease,noting that in addition to their sickle shape,the cells contain the abnormal element of ______________ _____.

What will the nurse administer with ferrous sulfate drops when providing them to a child on the pediatric unit?

Which statement by a mother may indicate a cause for her 9-month-old's iron deficiency anemia?

A 2-year-old child has been diagnosed with hemophilia A.What information should the nurse include in a teaching plan about home care?

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women with Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women with Complications During Labor and Birth

The Family After Birth

Nursing Care of Women with Complications After Birth

The Nurse’s Role in Women’s Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn with a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Toddler

The Preschool Child

The School-Age Child

The Adolescent

The Child’s Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child with a Sensory or Neurological Condition

The Child with a Musculoskeletal Condition

The Child with a Respiratory Disorder

The Child with a Cardiovascular Disorder

The Child with a Gastrointestinal Condition

The Child with a Genitourinary Condition

The Child with a Skin Condition

The Child with a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters and the Maternal-Child Patient

The Child with an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

Filters

The nurse shows slides of red blood cells from a child with sickle cell disease,noting that in addition to their sickle shape,the cells contain the abnormal element of __________ _.